Faculty of Life Science, & Medicine, Northwest University, No. 229 Taibai North Road, Xi'an, 710069, Shaanxi, China.
Department of Nephrology, Urumqi Chinese Medicine Hospital, No. 590 Fridenly South Road, Urumqi, 830000, Xinjiang Uygur Autonomous Region, China.
Cell Mol Life Sci. 2021 Feb;78(3):909-922. doi: 10.1007/s00018-020-03645-1. Epub 2020 Sep 23.
The gut microbiota has a crucial effect on regulating the intestinal mucosal immunity and maintaining intestinal homeostasis both in health and in disease state. Many effects are mediated by gut microbiota-derived metabolites and tryptophan, an essential aromatic amino acid, is considered important among many metabolites in the crosstalk between gut microbiota and the host. Kynurenine, serotonin, and indole derivatives are derived from the three major tryptophan metabolism pathways modulated by gut microbiota directly or indirectly. Aryl hydrocarbon receptor (AHR) is a cytoplasmic ligand-activated transcription factor involved in multiple cellular processes. Tryptophan metabolites as ligands can activate AHR signaling in various diseases such as inflammation, oxidative stress injury, cancer, aging-related diseases, cardiovascular diseases (CVD), and chronic kidney diseases (CKD). Accumulated uremic toxins in the body fluids of CKD patients activate AHR and affect disease progression. In this review, we will elucidate the relationship between gut microbiota-derived uremic toxins by tryptophan metabolism and AHR activation in CKD and its complications. This review will provide therapeutic avenues for targeting CKD and concurrently present challenges and opportunities for designing new therapeutic strategies against renal fibrosis.
肠道微生物群在调节肠道黏膜免疫和维持肠道内环境平衡方面具有关键作用,无论是在健康状态还是疾病状态下都是如此。许多作用是通过肠道微生物群衍生的代谢物介导的,色氨酸作为一种必需的芳香族氨基酸,被认为是肠道微生物群与宿主相互作用中许多代谢物中的重要物质。犬尿氨酸、血清素和吲哚衍生物是由肠道微生物群直接或间接调节的三种主要色氨酸代谢途径衍生而来的。芳烃受体 (AHR) 是一种细胞内配体激活的转录因子,参与多种细胞过程。色氨酸代谢物作为配体可以在各种疾病中激活 AHR 信号通路,如炎症、氧化应激损伤、癌症、与衰老相关的疾病、心血管疾病 (CVD) 和慢性肾脏病 (CKD) 等。CKD 患者体液中蓄积的尿毒症毒素激活 AHR,影响疾病进展。在这篇综述中,我们将阐明 CKD 及其并发症中由色氨酸代谢产生的肠道微生物群衍生尿毒症毒素与 AHR 激活之间的关系。这篇综述将为针对 CKD 的治疗方法提供依据,并同时提出了针对肾脏纤维化设计新的治疗策略的挑战和机遇。
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